NPI | 1932661840 |
---|---|
Former Name | JESSICA MARIE MASSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A180426) |
Enumeration Date | 2019-04-01 |
Last Update Date | 2024-09-20 |